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SAN JJ�QUIN COUNTY PUBLIC HEALTiWRVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> &VIRONMENTAL HEALTH <br /> L-pERATING PERMIT FOR UNDERGRMW STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit. Status From Tr- <br /> Z380 <br /> eX380 001 TA12001 00EXi5 101000 Unleaded 02 Conditional Permit 01/01198 12/31/96 <br /> 380 002 TA130002 007621 10,000 Unleaded 02 Conditional Permit 01/01/9'8 12/31/96 <br /> i <br /> I <br /> iPERMIT CONDITIONSI <br /> li The PERMIT TD OPERATE will become void if ANNUAL PER Fees and SERVICE Fees are rot paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storaqe tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 33 The TANK TERATOR(S?, if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25233, Chapter 6.71 Division 20; California Health and Safety Code. <br /> .9:1 The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 51 Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> h) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> ;hinge of UST system equlpirent. <br /> 7i This PERMIT TO OPERATE shell not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies_. <br /> 83 A "Conditional Permit" may be revoked if corrections are not completed by the dates) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; MATHARU, PARMJEET '_ <br /> G..6::;2 SIGNAL PEAL: CT <br /> STOCKTON, CA 95210 <br /> PERMIT'_ TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> ; ! and may L,e '=0SPE.NDED r-r REVOKED for cause . <br /> :+ # <br /> THIS FORM MUST BE DISPLAYED CZ14S"ICUOUSLY ON THE PREMISES <br /> , l + + + + <br /> `i REGULATED FACILITY; MY MINI MART Account. ID. 0001864 <br /> 1756 N WIL'ON WY Facility ID; 041856 <br /> STOCKTON, CA 9S205 Permit Printed; 03/021% <br /> BILLING ADDRESS: MY MINI MART <br /> ATTN; JOGINDER L_AL <br /> 17SG N WILSON WY <br /> STOCKTON, C� a, 05 <br /> Ef�� <br /> =i <br />